DHS released several manuals to the Medicaid website on July 13, 2017 that are available for public comment until August 11. Once public comment ends, these rules will be sent through the legislative committees and passed as law.
“In accordance with federal and state law, the Division of Medical Services of the Arkansas Department of Human Services must advertise and make available for public comment proposed new and amended rules and other documents, such as certain initial waiver requests and waiver renewals.”
However, they released over 60 documents actually, which may have left you feeling confused about which one needs your comment or what’s in them all. Here’s your guide to wading through the state terminology and legalese.
RULE #1: When you send in your comments, make sure to list the document that you wish to comment on!
RULE #2: Make sure you send your comments to the appropriate person.
Send your comments to Shelby.Maldonado@dhs.arkansas.gov, and as long as you’ve included the right document title, she will be able to direct it to the correct person.
- If you’re viewing this on a phone or tablet, you might want to turn it to the side (landscape) to view the width of the table well. The right 2 columns are what MSL has added to help with the list that DHS provided.
Instead of scrolling through the long table, which can be confusing, this list of topics can get you straight to what you want to see. Click the link to go directly to the corresponding manual in the table.
- DD Rule changes
- State Plan Amendment (9 documents)
- DDTCS/CHMS Hybrid Manuals (6 documents)
- DDS Community and Employment Supports (CES) Waiver Minimum Certification Standards (3 documents)
- DDS Community and Employment Supports (CES) Provider Manual (2 documents)
- DDS Policy 1086 – Human Development Center Admission and Discharge Rules Policy Manual
- PASSE (B Waiver)
- BH Rule changes
- Appeals changes
- DDS Policy 1076 changes (3 documents)
- ABLE Act (2 documents)
- Independent Assessment rules in the following manuals:
- new Independent Assessment manual
- Independent Assessment for Personal Care and Criminal Background Check Requirements for Providers
- ARChoices in Home Care Home and Community-Based 2176 Waiver Manual
- Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment Provider Manual
- Home Health Provider Manual
- Hospice Provider Manual
- IndependentChoices Provider Manual
- Personal Care Provider Manual
- Private Duty Nursing Services Provider Manual
- Physician Provider Manual
- Rural Health Clinic Provider Manual
- Section I: All Provider Manuals
The following table will attempt to explain what each document is (memo, explanation letter, mark up with changes, or new manual), what it contains, and possibly some documents to assist you. Remember, the list of topics above can assist you in finding what you need much faster.
| Document Title | Document | Description | Assisting docs/info |
| Interested Persons and Providers Letter for DDS Standards for Certification, Investigation and Monitoring; State Plan Amendment 2017-011; Child Health Management Services provider manual update; and Developmental Day Treatment Clinic Services provider manual update | IPLtrSPA17-011.doc | memo | |
| (SPA011 – 1 of 15) | |||
| State Plan Amendment 2017-011 Attachment 3.1A 1i | SPA17-011-31A1i.doc | STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT: AMOUNT, DURATION AND SCOPE OF SERVICES PROVIDED, CATEGORICALLY NEEDY (page as it will appear in new manual) |
|
| (SPA011 – 2 of 15) | Page 1i | ||
| State Plan Amendment 2017-011 Attachment 3.1A 1i with tracked changes | SPA17-011-31A1i-markup.doc | SAME MANUAL PAGE: mark up that shows changes | |
| (SPA011 – 3 of 15) | Page 1i | ||
| State Plan Amendment 2017-011 Attachment 3.1A 4A | SPA17-011-31A4A.doc | STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT: AMOUNT, DURATION AND SCOPE OF SERVICES PROVIDED, CATEGORICALLY NEEDY (page as it wil appear in new manual) |
|
| (SPA011 – 4 of 15) | Page 4a | ||
| State Plan Amendment 2017-011 Attachment 3.1A 4A with tracked changes | SPA17-011-31A4A-markup.doc | SAME MANUAL PAGE: mark up that shows changes | |
| (SPA011 – 5 of 15) | Page 4a | ||
| State Plan Amendment 2017-011 Attachment 3-1B 2h | SPA17-011-31B2h.doc | STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT: AMOUNT, DURATION AND SCOPE OF SERVICES PROVIDED, MEDICALLY NEEDY (page as it wil appear in new manual) |
|
| (SPA011 – 6 of 15) | Page 2h | ||
| State Plan Amendment 2017-011 Attachment 3-1B 2h | SPA17-011-31B2h-markup.doc | SAME MANUAL PAGE: mark up that shows changes | |
| (SPA011 – 7 of 15) | Page 2h | ||
| State Plan Amendment 2017-011 | SPA17-011-31B4b.doc | STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT: AMOUNT, DURATION AND SCOPE OF SERVICES PROVIDED, MEDICALLY NEEDY (page as it wil appear in new manual) |
|
| (SPA011 – 8 of 15) | Page 4b | ||
| State Plan Amendment 2017-011 | SPA17-011-31B4b-markup.doc | SAME MANUAL PAGE: mark up that shows changes | 1. IA Public Notice 2. IA Manual Summary 3. IA fiscal Impact |
| (SPA011 – 9 of 15) | Page 4b | ||
| DDS Standards for Certification, Investigation and Monitoring – Redline | DDS-Stnds-Redline.doc | DDS STANDARDS for Certification, Investigation, an Monitoring for Center-Based Community Services | 1. Summary DDTCS-CHMS 2. Info |
| (SPA011 – 10 of 15) | entire manual, mark up that shows changes | ||
| DDS Standards for Certification, Investigation and Monitoring | DDS-Stnds-Clean.doc | DDS STANDARDS for Certification, Investigation, an Monitoring for Center-Based Community Services | |
| (SPA011 – 11 of 15) | entire manual, as it will appear | ||
| CHMS-2-17 Provider Manual Update Transmittal Letter | CHMS-2-17.doc | letter that explains which parts of the CHMS manual have been changed | |
| (SPA011 – 12 of 15) | |||
| CHMS-2-17 Provider Manual Update | CHMS-2-17up.doc | CHMS Manual mark up with changes. | 1. Summary DDTCS-CHMS 2. Info |
| (SPA011 – 13 of 15) | |||
| DDTCS-2-17 Provider Manual Update Transmittal Letter | DDTCS-2-17.doc | letter that explains which parts of the DDTCS manual have been changed | |
| (SPA011 – 14 of 15) | |||
| DDTCS-2-17 Provider Manual Update | DDTCS-2-17up.doc | DDTCS Manual mark up with changes. | 1. Summary DDTCS-CHMS 2. Info |
| (SPA011 – 15 of 15) | |||
| Interested Persons and Providers Letter for State Plan Amendment 2017-010, Outpatient Behavioral Health Services and Inpatient Psychiatric Provider Manual Updates and Residential Community Reintegration Program Certification | IPLtrSPA17-010.doc | memo | |
| (SPA010 – 1 of 8) | |||
| State Plan Amendment 2017-010 Attachment 3.1 A | SPA010-Attach3-1A.doc | STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT: AMOUNT, DURATION AND SCOPE OF SERVICES PROVIDED, CATEGORICALLY NEEDY (page as it will appear in new manual – NO MARK UP AVAILABLE) |
|
| (SPA010 – 2 of 8) | Page 6c17a | ||
| State Plan Amendment 2017-010 Attachment 3.1 B | SPA010-Attach3-1B.doc | STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT: AMOUNT, DURATION AND SCOPE OF SERVICES PROVIDED, MEDICALLY NEEDY (page as it will appear in new manual – NO MARK UP AVAILABLE) |
|
| (SPA010 – 3 of 8) | Page 5f17a | ||
| Residential Community Integration Program Certification | ResCommReintCert.doc | Residential Community Integration Program Certification | |
| (SPA010 – 4 of 8) | entire manual as it will appear NO MARK UP AVAILABLE | ||
| Inpatient Psychiatric (INPPSYCH-1-17) Provider Manual Update Transmittal Letter | INPPSYCH-1-17.doc | Letter that shows the changes to Manual Update for Inpatient Psychiatric Services for Under Age 21 | |
| (SPA010 – 5 of 8) | |||
| INPPSYCH-1-17 Provider Manual Update | INPPSYCH-1-17up.doc | Manual Update for Inpatient Psychiatric Services for Under Age 21 | |
| (SPA010 – 6 of 8) | entire manual as it will appear NO MARK UP AVAILABLE | ||
| Outpatient Behavioral Health Services (OBHS-1-17) Provider Manual Update Transmittal Letter | OBHS-1-17.doc | Letter that shows the changes to Manual Update for Outpatient Behavioral Health Services | |
| (SPA010 – 7 of 8) | |||
| OBHS-1-17 Provider Manual Update | OBHS-1-17up.doc | Manual Update for Outpatient Behavioral Health Services | |
| (SPA010 – 8 of 8) | entire manual, mark up that shows changes | ||
| Interested Persons and Providers Letter for Independent Assessment Manual | IPLtrAR_IA.doc | memo | |
| (AR_IA – 1 of 2) | |||
| AR Independent Assessment Manual | AR_IA_July_17.doc | New manual for Independent Assessment | 1. IA Public Notice 2. IA Manual Summary 3. IA fiscal Impact |
| (AR_IA – 2 of 2) | |||
| Interested Persons and Providers Letter for DDS Policy 1076 -Appeals | IPLtrDDS1076.doc | memo | |
| (1076 – 1 of 3) | |||
| DDS Policy 1076 with Tracked Changes | DDS1076-Appeals-markup.doc | DDS Policy APPEALS Manual | |
| (1076 – 2 of 3) | entire manual, mark up that shows changes | 1. Summary Appeals 2. Info Policy 1076 Appeals |
|
| DDS Policy 1076 -Clean | DDS1076-Appeals-clean.doc | DDS Policy APPEALS Manual | |
| (1076 – 3 of 3) | entire manual, as it will appear | ||
| Interested Persons and Providers Letter for DDS Policy 1086 | IPLtrDDS1086.doc | memo | |
| (DDS1086 – 1 of 3) | |||
| DDS Policy 1086 with tracked changes | DDS1086-HDC-markup.doc | DDS Human Development Center Admission and Discharge Rules Policy Manual | |
| (DDS1086 – 2 of 3) | entire manual, mark up that shows changes | 1. 1086 HDC Rules Summary
2. 1086 Info |
|
| DDS Policy 1086 | DDS1086-HDC.doc | DDS Human Development Center Admission and Discharge Rules Policy Manual | |
| (DDS1086 – 3 of 3) | entire manual, as it will appear | ||
| Interested Persons and Providers Letter for Medical Services Policy Manual Sections E-600 through E-670 and Appendix R | IPLtrABLE.doc | memo | |
| (ABLE – 1 of 2) | |||
| Medical Services Policy Manual Sections E-600 through E-670 and Appendix R | ABLE.pdf | Able Act Policy Manual: Eligibility Factors, Contributions, Withdrawals, Expenses, Exclusions, | |
| (ABLE – 2 of 2) | entire manual, as it will appear – NO MARK UP AVAILABLE | ||
| Interested Persons and Providers Letter for Community and Employment (CES) 1915 (c) Waiver, DDSCES-1-17 Provider Manual Update and Certification Standards for CES Providers | IPLtrDDSCES.doc | memo | C Waiver |
| (CES – 1 of 5) | |||
| DDS Community and Employment Supports (CES) Waiver Minimum Certification Standards | DDSCESCertStand-markup.doc | DDS Community and Employment Supports (CES) Waiver Minimum Certification Standards | |
| (CES – 2 of 5) | entire manual, mark up that shows changes | 1. Summary of Changes | |
| DDS Community and Employment Supports (CES) Waiver Minimum Certification Standards | DDSCESCertStand.doc | DDS Community and Employment Supports (CES) Waiver Minimum Certification Standards | |
| (CES – 3 of 5) | entire manual, as it will appear | ||
| Developmental Disabilities Services Community and Employment Supports (DDSCES1-17) Provider Manual Update Transmittal Letter | DDSCES-1-17.doc | Letter that shows the changes to Manual Update for Arkansas Medicaid Health Care Providers – DDS Community and Employment Supports (CES) | |
| (CES – 4 of 5) | |||
| DDSCES-1-17 Provider Manual | DDSCES-1-17up.doc | Manual Update for Arkansas Medicaid Health Care Providers – DDS Community and Employment Supports (CES) | |
| (CES – 5 of 5) | entire manual, mark up that shows changes | 1. Summary of Changes 2. Info – CES Waiver |
|
| Interested Persons and Providers Letter for Provider-Led Arkansas Shared Savings Entity (PASSE) Waiver and New Provider Manual | IPLtrPASSE.doc | memo | |
| (PASSE 1 of 5) | |||
| Provider-led Arkansas Shared Savings Entity Program – Phase I | PASSEWvr.pdf | PASSE Program Information | B Waiver 1. Summary of PASSE 2. Info & Financial Impact |
| (PASSE 2 of 5) | |||
| Provider-led Arkansas Shared Savings Entity Spreadsheet | SpreadsheetPASSEWvr.pdf | PASSE Information – Enrollment Projections, Costs | |
| (PASSE 3 of 5) | |||
| PASSE-New-17 Provider Manual Update Transmittal Letter | PASSE-New-17.doc | letter that explains Provider-Led Arkansas Shared Savings Entity (PASSE) Program manual | |
| (PASSE 4 of 5) | |||
| PASSE-New-17 Provider Manual Update | PASSE-New-17up.doc | New PASSE Manual | |
| (PASSE 5 of 5) | entire manual, mark up | 1. Summary of PASSE 2. Info & Financial Impact |
|
| Interested Persons and Providers Letter for Independent Assessment for Personal Care and Criminal Background Check Requirements for Providers | IPLtrIA.doc | memo | |
| (IA – 1 of 22) | |||
| State Plan Amendment 2017-009 with Tracked Changes | SPA17-009-markup.doc | STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT: AMOUNT, DURATION AND SCOPE OF SERVICES PROVIDED, CATEGORICALLY NEEDY (mark up that shows changes |
|
| (IA – 2 of 22) | Page 10aa | ||
| State Plan Amendment 2017-009 | SPA17-009.doc | SAME MANUAL PAGE: as it will appear | |
| (IA – 2 of 22) | Page 10aa | ||
| ARChoices in Home Care Home and Community-Based 2176 Waiver (ARCHOICES-1-17) Provider Manual Update Transmittal Letter | ARCHOICES-1-17.doc | letter that explains changes to ARChoices In Homecare Home and Community-Based 2176 Waiver Manual | |
| (IA – 3 of 22) | |||
| ARCHOICES-1-17 Provider Manual Update | ARCHOICES-1-17up.doc | ARChoices In Homecare Home and Community-Based 2176 Waiver Manual | |
| (IA – 4 of 22) | entire manual, mark up that shows changes | ||
| Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT-1-17) Provider Manual Update Transmittal Letter | EPSDT-1-17.doc | letter that explains changes to Arkansas Medicaid Health Care Providers – EPSDT Manual | |
| (IA – 5 of 22) | |||
| EPSDT-1-17 Provider Manual Update | EPSDT-1-17up.doc | Arkansas Medicaid Health Care Providers – EPSDT Manual change | |
| (IA – 6 of 22) | Section II, mark up that shows changes | IA required for certain home health clients 1. IA Public Notice 2. IA Manual Summary 3. IA fiscal Impact |
|
| Home Health (HOMEHLTH-1-17) Provider Manual Update Transmittal Letter | HOMEHLTH-1-17.doc | letter that explains changes to Arkansas Medicaid Health Care Providers – Home Health Manual | |
| (IA – 7 of 22) | |||
| HOMEHLTH-1-17 Provider Manual Update | HOMEHLTH-1-17up.doc | Arkansas Medicaid Health Care Providers – Home Health Manual change | |
| (IA – 8 of 22) | Section II, mark up that shows changes | background check changes | |
| Hospice (HOSPICE-1-17) Provider Manual Update Transmittal Letter | HOSPICE-1-17.doc | letter that explains changes to Arkansas Medicaid Health Care Providers – Hospice Service manual | |
| (IA – 9 of 22) | |||
| HOSPICE-1-17 Provider Manual Update | HOSPICE-1-17up.doc | Arkansas Medicaid Health Care Providers – Hospice Service manual changes | |
| (IA – 10 of 22) | Section II, mark up that shows changes | background check, IAs for personal care 1. IA Public Notice 2. IA Manual Summary 3. IA fiscal Impact |
|
| IndependentChoices (INCHOICE-1-17) Provider Manual Update Transmittal Letter | INCHOICE-1-17.doc | letter that expains changes to Arkansas Medicaid Health Care Providers – IndependentChoices Manual | |
| (IA – 11 of 22) | |||
| INCHOICE-1-17 Provider Manual Update | INCHOICE-1-17up.doc | Arkansas Medicaid Health Care Providers – IndependentChoices Manual changes | |
| (IA – 12 of 22) | Section II, mark up that shows changes | various changes included background checks | |
| Personal Care (PERSCARE-1-17) Provider Manual Update Transmittal Letter | PERSCARE-1-17.doc | letter that explains changes to Arkansas Medicaid Health Care Providers – Personal Care manual | |
| (IA – 13 of 22) | |||
| PERSCARE-1-17 Provider Manual Update | PERSCARE-1-17up.doc | Arkansas Medicaid Health Care Providers – Personal Care Manual changes | |
| (IA – 14 of 22) | Section II, mark up that shows changes | ||
| Private Duty Nursing Services (PDN-1-17) Provider Manual Update Transmittal Letter | PDN-1-17.doc | letter that explains changes to the Arkansas Medicaid Health Care Providers – Private Duty Nursing Services manual | |
| (IA – 15 of 22) | |||
| PDN-1-17 Provider Manual Update | PDN-1-17up.doc | Arkansas Medicaid Health Care Providers – Private Duty Nursing Services Manual changes | |
| (IA – 15 of 22) | Section II, mark up that shows changes | background checks | |
| Physician (PHYSICN-3-17) Provider Manual Update Transmittal Letter | PHYSICN-3-17.doc | letter that explains changes to the Physician/ Independent Lab/CRNA/Radiation Therapy Center manual | |
| (IA – 17 of 22) | |||
| PHYSICN-3-17 Provider Manual Update | PHYSICN-3-17up.doc | Physician/ Independent Lab/CRNA/Radiation Therapy Center manual changes | |
| (IA – 18 of 22) | Section II, mark up that shows changes | IA requirement 1. IA Public Notice 2. IA Manual Summary 3. IA fiscal Impact |
|
| Rural Health Clinic (RURLHLTH-1-17) Provider Manual Update Transmittal Letter | RURLHLTH-1-17.doc | letter that explains changes to the Rural Health Clinic Services manual | |
| (IA – 19 of 22) | |||
| RURLHLTH-1-17 Provider Manual Update | RURLHLTH-1-17up.doc | Rural Health Clinic Services manual changes | |
| (IA – 20 of 22) | Section II, mark up that shows changes | IA requirement 1. IA Public Notice 2. IA Manual Summary 3. IA fiscal Impact |
|
| Section I (SecI-3-17) All Provider Manuals Update Transmittal Letter | SecI-3-17.doc | letter that explains the changes to the Arkansas Medicaid Health Care Providers – All Providers manual | |
| (IA – 21 of 22) | |||
| SecI-3-17 All Provider Manuals Update | SecI-3-17up.doc | Arkansas Medicaid Health Care Providers – All Providers manual | |
| (IA – 22 of 22) | Section II, mark up that shows changes | IA requirement 1. IA Public Notice 2. IA Manual Summary 3. IA fiscal Impact |
|
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